Individual
MR. ANTHONY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
107 LANA DR, PAULS VALLEY, OK 73075-6616
(405) 207-6418
Mailing address
107 LANA DR, PAULS VALLEY, OK 73075-6616
(405) 207-6418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1759
OK
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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